SPRINGBROOK HABILITATION SERVICES LLC NPI 1699946533

NPI Information

NPI: 1699946533
Provider Name: SPRINGBROOK HABILITATION SERVICES, LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
12002 N 28TH ST
PHOENIX, AZ
ZIP 85028
Phone: (602) 795-2088
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SPRINGBROOK HABILITATION SERVICES, LLC is a community based residential treatment facility mental illness in Phoenix, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SPRINGBROOK HABILITATION SERVICES, LLC NPI is 1699946533. The provider is registered as an organization entity type.

The provider's business location address is:

12002 N 28TH ST
PHOENIX, AZ
ZIP 85028-114
Phone: (602) 795-2088

The provider's authorized official is George W. Green .
The authorized official title is Clinical Director and has the following contact phone number (602) 424-1838.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 12/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		BH-2372	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	819013	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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